Master Artist Workshop Series Thursday - Saturday | September 17-19, 2015 | Inn of the Mountain Gods, Mescalero, NM Supported by the Margaret A. Cargill Foundation, the Heard Museum Master Artist Workshop series provides up-and-coming and mid-career artists access to mentorship with a master-level artist. The workshop will be taught by Mescalero Apache Artists Matthew Summa and Andrea Summa. Participants must be at least 18 years of age. Lodging and food will be provided. Travel stipends will be given to participants coming from outside the local area. Upon completion of the course, attendees will receive an honorarium for participation. FMI: Marcus Monenerkit, Heard Museum community engagement curator, 602.251.0243 or email: [email protected]To register: visit heard.org. All applications should be mailed, faxed, or e-mailed to Marcus Monenerkit. Deadline for application is 5 p.m., Friday, September 11. IMAGE: Mescalero Apache basket, Heard Museum Collection. 2301 N. Central Ave. Phoenix, AZ 85004 | 602.252.8840 | fax: 602.252.9757 | heard.org
Transcript
Master Artist Workshop SeriesThursday - Saturday | September 17-19, 2015 | Inn of the Mountain Gods, Mescalero, NM
Supported by the Margaret A. Cargill Foundation, the Heard Museum Master Artist Workshop series
provides up-and-coming and mid-career artists access to mentorship with a master-level artist. The
workshop will be taught by Mescalero Apache Artists Matthew Summa and Andrea Summa.
Participants must be at least 18 years of age. Lodging and food will be provided. Travel stipends will be
given to participants coming from outside the local area. Upon completion of the course, attendees will
receive an honorarium for participation.
FMI: Marcus Monenerkit, Heard Museum community engagement curator, 602.251.0243 or
Home Address: _________________________________________________________________________________________________(If different from above) Street Address City State Zip Code
Allergies:
No known allergies Allergic to: Food Medicine The environment (insect stings, hay fever, etc.) Other
*Note: The lodging and training locations cannot provide a peanut-free environment.
Please describe below any allergies and the reaction seen:________________________________________________________________________________________________________________
Diet, Nutrition:
Regular diet. Regular vegetarian diet. Special food needs.
*Note: Participants needing dietary assistance are asked to contact the Heard Museum no less than 5 days prior to the event. We will try to accommodate requests.
Please describe below special needs related to diet/nutrition:________________________________________________________________________________________________________________
Medical Insurance Information:
I am covered by family medical/hospital insurance Yes No
Group Subscriber’s Name: ________________________________________________________________________________________
Insurance Company Phone Number: (______)_______________________________
Heard Museum Master Artist Workshop SeriesParticipant Registration Form
2301 N. Central Avenue, Phoenix, Arizona 85004 | main 602.252.8840 | fax 602.252.9757 | heard.org
Biography:
Please provide a brief biography that will be shared with the staff, master artist and peer participants. The biography should include your name, tribal affiliation, school (you are currently attending or have attended), and/or profession. Please share anything you would like us to know about you and/or what you would like to gain from the Master Artist Workshop Series program.
Photograph:
I have submitted my photograph.
I will email a photograph to Marcus Monenerkit at [email protected] by 9/11/15.
Restrictions:
I have reviewed the program and activities, and I can take part without restrictions or accommodations.
I have reviewed the program and activities, and I can take part with the following accommodations. Please describe below any restrictions you may have with mobility or any other special needs and we will try to make appropriate accommodations.
Thank you for your interest!
MEMORANDUM OF AGREEMENT
Participant Agreement
I, as the participant, agree to complete the Master Artist Workshop Series program from September 17-19, 2015. I will actively engage and cooperate with the staff, master artist, master artist assistant, and peer participants during the program. I am responsible for completing program requirements, participating in activities and cooperating with museum for additional grant reporting measures. I will not bring any type of weapon(s) or use any drugs during the duration of the workshop, except for those prescribed for medical purposes by a doctor.I recognize only with the successful completion of the program will I be able to receive the honorarium for my time, mileage reimbursement and have lodging provided for me.
I ___________________________________________, understand I am responsible for arranging my own transportation to Mescalero, New Mexico for the program, and my return home.
__________________________________________________________________________________Signature of Participant Date
Heard Museum Master Artist Workshop SeriesParticipant Registration Form
ACCOMMODATIONS
The Heard Museum has noted you will be traveling from: _____________________________________________________________
*Note: The participant will assume the upfront cost of transportation to Mescalero, New Mexico for the Master Artist Workshop Series program and their return home. Participants will be reimbursed based on the following:
• Roundtrip mileage for 150 miles and less will be reimbursed $75/person
• Roundtrip mileage for more than 150 miles will be reimbursed $150/person
The Heard Museum will provide hotel lodging (includes only room and tax) at the location below for participants for the nights of September 17-18, 2015.
Inn of the Mountain Gods Resort and Casino
287 Carrizo Canyon Road
Mescalero, NM 88340, USA
TEL: 575.464.7059
*Note: Transportation from the hotel to the Inn of the Mountain Gods and any other training locations will be provided.
Please indicate which mode of transportation you will be using:
Car Air Other:__________________________________________________
*Note: The Heard Museum will assume responsibility for your travel from the airport to the hotel. This will be coordinated prior to your arrival.
THINGS YOU SHOULD KNOW
1.) Each participant will receive a $300 honorarium for their completion in the Master Artist Workshop Series program.
2.) Participants who provide a completed packet with all of the required information 14 days before the program starts will receive their honorarium on the last day of the program. Participants who do not provide a completed packet with all of the required information will receive their honorarium within 14 business days of the program’s completion. Checks will be mailed to the address listed on the registration form.
3.) Please notify Master Artist Workshop Series staff member Jaclyn Roessel at 602.251.0244 or 480.980.7214 cell or via email at [email protected] if you can no longer participate in the program as originally planned, or if you are not feeling well enough to participate during the program.
4.) All your meals will be provided for you beginning with dinner Thursday evening through dinner on Saturday afternoon. Snacks will also be available throughout the weekend.
5.) Inappropriate behavior will not be tolerated.
6.) Participants found possessing or using illegal substances or drug paraphernalia will be dismissed from the workshop immediately.
7.) The Heard Museum is grateful to offer the Master Artist Workshop Series program, and is committed to providing a positive learning experience.
Heard Museum Master Artist Workshop SeriesPHOTO/INTERVIEW RELEASE FORM
2301 N. Central Avenue, Phoenix, Arizona 85004 | main 602.252.8840 | fax 602.252.9757 | heard.org
I hereby give permission to the Heard Museum, 2301 N. Central Avenue, Phoenix, AZ 85004:
1) to interview me/photograph me (still or moving images)/record my voice,
2) and to use, reuse, publish and republish the same in whole or in part for any lawful purposes in any and all media whether now known or hereafter existing, including print, broadcast and the World Wide Web,
3) and to use my full name in connection therewith.
I will make no monetary or other claim, including any and all claims for libel, for the use of the interview and/or the photograph(s)/video/recording of my voice.
This authorization and release also applies to the organization(s)/publication(s) for which the photographer/interviewer took the photos/video, recorded my voice and/or conducted the interview, and to their legal representatives, licensees and assignees.
Note exceptions here and/or by crossing out points above to which the photo/interview subject does not agree. Subject reserves the right to decline to answer certain questions and to stop the interview if he/she becomes uncomfortable. He/she may refuse the use of his/her full name and/or of his/her address, and may refuse to have his/her full face photographed.
Date: _________________________________
Name of person photographed/interviewed (please print): ____________________________________________________________
Physical description of person photographed and their clothing: _______________________________________________________
![January 10, 2012 [Participant Name] [Participant Street ......January 10, 2012 [Participant Name] [Participant Street Address] [Participant City, State Zip code] Dear [Participant](https://static.documents.pub/doc/80x56/5f8ad691c7ddf87a4309ec05/january-10-2012-participant-name-participant-street-january-10-2012.jpg)